Challenges and contexts in mandated organizational change: Consolidation in Alberta's health care system

IF 1.1 4区管理学 Q3 PUBLIC ADMINISTRATION

Canadian Public Administration-Administration Publique Du Canada Pub Date : 2023-11-27 DOI:10.1111/capa.12544

Howard P. Greenwald

引用次数: 0

Abstract

The research reported here is a case study of mandated consolidation in the organization of Alberta's health care system. Informed by the concept of organizational context, this study illustrates the complexity of factors affecting outcomes of mandated change and draws implications for theory and practice. Consolidation of separate agencies was initiated in 2008. Data were obtained through 2020 via interviews of key informants, reviews of official documents, and searches of news media. Ultimately, the mandate appears to have succeeded, but at substantial and potentially avoidable cost. An understanding of multiple dimensions of context can contribute to successful strategies for change.

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授权组织变革的挑战和背景：艾伯塔省医疗保健系统的整合

本文报告的研究是对艾伯塔省医疗保健系统组织中授权整合的案例研究。根据组织背景的概念，本研究说明了影响授权变革结果的因素的复杂性，并得出了对理论和实践的启示。独立机构的合并始于 2008 年。2020 年，通过对主要信息提供者的访谈、对官方文件的审查以及对新闻媒体的搜索获得了相关数据。最终，这项任务似乎取得了成功，但也付出了巨大的、可能可以避免的代价。了解背景的多个方面有助于制定成功的变革战略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Public Administration-Administration Publique Du Canada PUBLIC ADMINISTRATION-

CiteScore

1.90

自引率

20.00%

发文量

期刊介绍： Canadian Public Administration/Administration publique du Canada is the refereed scholarly publication of the Institute of Public Administration of Canada (IPAC). It covers executive, legislative, judicial and quasi-judicial functions at all three levels of Canadian government. Published quarterly, the journal focuses mainly on Canadian issues but also welcomes manuscripts which compare Canadian public sector institutions and practices with those in other countries or examine issues in other countries or international organizations which are of interest to the public administration community in Canada.